Dileep Kumar, Samina Karim, Shafqatullah, Muhammad Hanif, Abdul Rasheed Zai, Muhammad Aqil Razzaq

Association of Risk Factors for the Mortality and Morbidity of Stoma Closure

Dileep Kumar, Samina Karim, Shafqatullah, Muhammad Hanif, Abdul Rasheed Zai, Muhammad Aqil Razzaq



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ABSTRACT

Background: Anastomal leakage is a main surgical difficulty and requires stoma closure.

Objective: To find associated risks for mortality and morbidity of stoma closure.

Study Design: Retrospective cohort study

Place and Duration of Study: Department of Surgery Ward 2, Jinnah Sindh Medical University/Jinnah Postgraduate Medical Centre Karachi from 1st July 2020 to 30th June 2021.

Methodology: One hundred and twenty patients undergone rectal carcinoma surgeries were enrolled. The complications were graded by Clavien-Dindo classification system. The stoma closure was done by two different methods; the anterior wall technique or resection with anastomosis. Time duration of surgery, scoring by American Society of Anaesthesiologists was done and clinical and demographic information documented.

Results: There were 62.5% males while 37.5% females and mean age was 65.5±8.5 years range between 31 to 72 years. Vascular blood supply affected leaking anastomaly. No significant effect of stoma type or closing technique was seen. However the time of stoma (p=0.044) and ASA score closure was a main risk for causing complications and increasing morbidity or mortality chances.

Conclusion: Time of closure, American Society of Anaesthesiologists score as well as vascular supply are risk factors for morbidity or mortality in stoma closure.

Keywords: Surgical stoma closure, Risk factors, Morbidity, Mortality



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